THE ALBUMIN-GLOBULIN RATIO PREDICTING MORTALITY IN GASTRIC CARCINOMA

被引:3
作者
Aksoy, Asude [1 ]
Durak, Serdar [2 ]
Ozturk, Turkan [3 ]
Avci, Nilufer [4 ]
Cirak, Yalcin [5 ]
Deger, Ayse Nur [6 ]
Bilgic, Yilmaz [7 ]
Koca, Suleyman Serdar [2 ]
Ozcan, Mete [8 ]
Goktas, Sevil [9 ]
Bozdag, Ahmet [10 ]
机构
[1] Firat Univ, Fac Med, Med Oncol, Elazig, Turkey
[2] Firat Univ, Med Fac Internal Med, Elazig, Turkey
[3] Karadeniz Tech Univ, Fac Med, Med Oncol, Trabzon, Turkey
[4] Bursa Ali Osman Sonmez Oncol Hosp, Med Oncol, Bursa, Turkey
[5] Istanbul Bahcesehir Univ, Fac Med, Med Oncol, Istanbul, Turkey
[6] Dumlupinar Univ, Fac Med, Pathol, Kutahya, Turkey
[7] Inonu Univ, Fac Med, Gastroenterol, Malatya, Turkey
[8] Firat Univ, Fac Med, Biophys, Malatya, Turkey
[9] Denizli State Hosp, Med Oncol, Denizli, Turkey
[10] Elazig Educ & Res Hosp, Gen Surg, Elazig, Turkey
来源
ACTA MEDICA MEDITERRANEA | 2016年 / 32卷 / 03期
关键词
Albumin-globulin ratio; albumin; gastric carcinoma; predictive; survival; GLASGOW PROGNOSTIC SCORE; LONG-TERM MORTALITY; CARCINOEMBRYONIC ANTIGEN; HEPATOCELLULAR-CARCINOMA; CURATIVE RESECTION; NUTRITIONAL-STATUS; CA; 72-4; SURVIVAL; CANCER; INFLAMMATION;
D O I
10.19193/0393-6384_2016_3_78
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Introduction: The potential effects of serum albumin and albumin-globulin rate on survival were investigated in patients with gastric carcinoma. Materials and methods: The biochemical values of 204 patients under chemotherapy evaluation were obtained retrospectively from archive data. Albumin-globulin ratio values were calculated using albumin/total protein-albumin formula. The values of albumin-globulin ratio and albumin were categorized as 3 groups using receiver operating characteristic analysis and a descending order. Results: The calculated cut-off value for albumin-globulin ratio was 1.14: 34.4-79.7 by receiver operating characteristic. The median survival was 20.7 months (15.9-25.5), 20.1 months (15.1-25.1), 16 months (11.8-20.1), respectively in 1st, 2nd, 3rd groups for albumin-globulin ratio (p=0.46). The median overall survival was 18.3 months (123-24.2), 21.6 months (16.8-26.3), 18.01 months (13.5-22.4) in 1st, 2nd, 3rd groups for albumin, respectively (p=0.52). There were no statistical significant differences by Kaplan-Meier method for albumin-globulin ratio, albumin p>0.05. The effects of clinicopathological and biochemical characteristics on mortality were assessed by Cox-proportional hazard regression analysis. The independent predictors of mortality were observed high grade, the presence of perineural invasion of the tumor, high nodal involvement (p:0.01, p:0.001, p:0.01), respectively. Conclusion: Albumin-globulin ratio and albumin values alone may not be useful parameters to predict mortality and survival in patients with gastric carcinoma.
引用
收藏
页码:707 / 712
页数:6
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